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<br />APPLICATION FORM - PART I - GENERAL INFORMATION <br /> <br />TEXAS RECREATION , PARKS ACCOUNT PROGRAM <br /> <br />I. SPONSOR: <br /> <br />A. Address: <br /> <br /> B. Federal Tax Identification Code: <br /> C. Contact & Phone Number: <br />II. PROJECT NAME: <br />III. PROJECT LOCATION <br /> A. City & County: <br /> B. State Legislative Districts <br /> 1. Senate: 2. House: <br /> C. Federal congressional District: <br />IV. FUNDS REQUESTED <br /> A. Sponsor (50%) : <br /> B. State (50%) : <br /> C. Total Project: <br /> * * * * * * <br /> <br />To the best of my knowled5le and beltef, all docunentetion in this application is true and correct, the <br />application has been duly authorhed by the governing body of the sponsor, and the sponsor agrees to conrpty wfth <br />all program rules and procedures If grant assistance Is awarded. <br /> <br />Signature of Official Authorized in Resolution <br /> <br />Typed Name, Title and Telephone Number <br /> <br />Date <br /> <br />37 <br />t.XliIBIIA <br />